Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Douglas Boudreau (NPI 1598720617)

Douglas Boudreau is a pediatrics physician provider located in Hinesville, Georgia. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Douglas Boudreau
Address	303 Fraser Dr
City	Hinesville
State	GA
ZIP	31313
Taxonomy	Pediatrics Physician
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicaid	$169K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	850	$70	$56.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	490	$80	$41.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	440	$80	$35.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	190	$90	$16K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	110	$90	$9.7K
90723	The provider administers a combination inactivated vaccine intramuscularly to prevent multiple diseases, including diphtheria, tetanus, acellular pertussis, hepatitis B, and polio.	150	$20	$3.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	250	$10	$1.8K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	250	$10	$1.8K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	20	$80	$1.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10	$90	$1.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Douglas Boudreau — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	366	920	370	$60	$360.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	394	820	390	$70	$245K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	127	180	680	$90	$226.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	95	180	720	$90	$204.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	125	170	500	$100	$170.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	255	310	90	$90	$136.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	137	160	190	$110	$129.7K
S9083	Global fee urgent care centers	10	20	320	$80	$58.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	192	260	350	$10	$30.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	164	250	330	$10	$29.9K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curators Of The University Of Missouri	MO	General Acute Care Hospital	$0	$12.1M
Phillip Ajayi	GA	Pediatrics Physician	$0	$5.1M
Capital Region Medical Center	MO	Family Medicine Physician	$0	$4.4M
Pedsnow LLC	GA	Pediatric Adolescent Medicine Physician	$0	$1.7M
Walter Coats	MO	Interventional Cardiology Physician	$272.2K	$0
Roland Njoh	MO	Cardiovascular Disease Physician	$269K	$0
Jeffrey Sanders	MO	Interventional Cardiology Physician	$248.9K	$0
Troy Loethen	MO	Internal Medicine Physician	$241.2K	$0
Patrick Morello	MO	Interventional Cardiology Physician	$238.8K	$0
James Tritz	MO	Interventional Cardiology Physician	$191K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darsey, Black & Associates	GA	Professional Counselor	$0	$2.9M
Horizon Behavioral Health, P.C.	GA	Psychiatry Physician	$0	$1M
Nizar Eskandar	GA	Nephrology Physician	$899.7K	$0
Richard James	GA	Dermatology Physician	$627.2K	$0
Barry Chapman	GA	Professional Counselor	$0	$554.9K
Firas Bannout	GA	Internal Medicine Physician	$512.7K	$0
Vadim Petrov-kondratov	GA	Interventional Pain Medicine Physician	$422.1K	$0
Sabin Tomus	GA	Internal Medicine Physician	$421.9K	$0
Liberty County Board Of Commissioners	GA	Land Ambulance	$358.9K	$0
Holly Hollis	GA	Nurse Practitioner	$38.7K	$317K

Douglas Boudreau — Billing Profile & Reimbursement Data

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Douglas Boudreau — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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